| NPI | 1104332931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03465) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-02-25 |