| NPI | 1972255081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128019) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 227284) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-11-05 |