| NPI | 1134148950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00837) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107738) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-12-31 |