| NPI | 1811586944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225766) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-05-30 |