| NPI | 1033163498 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02557)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008843)  | 
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2018-01-05 |