| NPI | 1053433656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55971) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW01665) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-06-29 |