| NPI | 1124075395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: CT 002820) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 1015866) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-08-22 |