| NPI | 1063824837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124620) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-08-17 |