NPI | 1972116275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125198) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225573) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2023-01-13 |