| NPI | 1205985389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114933) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-10-04 |