| NPI | 1932642048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221593) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2022-03-01 |