| NPI | 1174911648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02939) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-11-11 |