| NPI | 1841822319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011743) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-02-26 |