| NPI | 1922590199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128388) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-09-17 |