| NPI | 1003320581 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03356)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222301)  | 
| 1041C0700X Social Worker, Clinical (Licence: VT 097.0125266)  | |
| Enumeration Date | 2017-11-20 | 
| Last Update Date | 2021-10-01 |