| NPI | 1922715788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1120747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228500) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2026-02-01 |