| NPI | 1770072480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW230403) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW230403) |
| 1041S0200X Social Worker, School (Licence: MA LCSW230403) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2026-06-14 |