| NPI | 1962163261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120318) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2025-05-11 |