| NPI | 1881238962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122599) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222934) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2021-07-01 |