| NPI | 1760917595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW227576) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW89906) | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2024-10-25 |