| NPI | 1194857201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS23881) |
| 1041C0700X Social Worker, Clinical (Licence: MA 116672) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-09-05 |