| NPI | 1023294592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI LICSW02661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27100) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2018-08-10 |