| NPI | 1053614560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02401) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI csw00505) |
| 104100000X Social Worker (Licence: MA 2032408) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-12-14 |