| NPI | 1255584819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03121) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-10-23 |