| NPI | 1770121634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 226687) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2025-12-30 |