| NPI | 1982266995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140324) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-12-03 |