| NPI | 1053679779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02413) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW01484) |
| 1041C0700X Social Worker Clinical (Licence: MA 218558) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2023-01-30 |