| NPI | 1215494943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 7256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW03160) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-08-15 |