| NPI | 1942954383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007048) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-04-01 |