| NPI | 1093964942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116735) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-10-02 |