| NPI | 1881330272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125316) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225353) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-09-02 |