| NPI | 1215356076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122556) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI CSW01482) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03013) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-10-17 |