| NPI | 1821719931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142785) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MA LCSW229797) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2026-02-23 |