| NPI | 1225189657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 106945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW00223) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2016-07-13 |