| NPI | 1043271513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01586) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-11-29 |