| NPI | 1114206521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12897) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03097) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2023-07-21 |