| NPI | 1043419617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110679) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-08-30 |