| NPI | 1235245911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 211142) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02766) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-08-01 |