| NPI | 1760961528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124224) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 212018) |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2022-03-15 |