| NPI | 1124577390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW04052) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2024-04-04 |