| NPI | 1013212398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115967) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-12-03 |