| NPI | 1013361492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 00124366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02298) |
| 1041C0700X Social Worker, Clinical (Licence: MA 225152) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-08-29 |