| NPI | 1902426125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000124363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000225284) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-04-06 |