| NPI | 1215352802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118992) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2023-05-26 |