| NPI | 1811768765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2121273) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-08-08 |