| NPI | 1205346830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223032) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2020-03-28 |