| NPI | 1801321658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222122) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2021-08-06 |