| NPI | 1750996716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 123290) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 223772) |
| 1041C0700X Social Worker Clinical (Licence: MA 000123290) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-01-25 |