| NPI | 1902240591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126716) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2025-05-23 |