| NPI | 1194847442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 210932) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW01027) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |