| NPI | 1053470435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01094) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-11-24 |