| NPI | 1760844716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 220220) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW120546) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-03-27 |