| NPI | 1851876056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1130586) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-04-01 |