| NPI | 1134645658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119603) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-07-28 |