| NPI | 1215073119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107666) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-03-24 |