| NPI | 1982294724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW122738) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 122738) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2025-03-20 |