| NPI | 1932592169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW115784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8468) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2026-03-11 |