| NPI | 1023248606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02051) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 066327-1) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-03-20 |