| NPI | 1023168333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: RI ISW01703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122426) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-12-11 |