| NPI | 1114214012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02399) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 117685) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-08-29 |