| NPI | 1255493904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107686) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2009-11-17 |