| NPI | 1912672460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000227115) |
| 1041C0700X Social Worker, Clinical (Licence: MA 000227115) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-04-24 |