| NPI | 1114228533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02544) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2025-04-14 |