| NPI | 1760011167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009332A) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-02-01 |