| NPI | 1194076075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw006748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01527) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2019-05-29 |