| NPI | 1063221661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04322) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143384) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2026-02-25 |