| NPI | 1104326446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02953) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 120250) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2020-10-06 |