NPI | 1053565531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02269) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214419) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2021-07-13 |