| NPI | 1053712463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02632) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2025-10-14 |