| NPI | 1164761920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02984) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI CSW01541) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2019-07-31 |