| NPI | 1093909806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW01854) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 111850) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |