| NPI | 1801446364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 9622-C) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2025-10-21 |