| NPI | 1831741578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 226550) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-08-28 |