| NPI | 1053788513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02851) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-15564) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-08-29 |