| NPI | 1255466520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01887) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-08-03 |