| NPI | 1053548941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03256) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R042499-1) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-06-24 |