| NPI | 1174797625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8248-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01126) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-04-08 |