| NPI | 1770251597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120285) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2026-01-12 |