| NPI | 1154817831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02564) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |