| NPI | 1124546650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125146) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-12-10 |