| NPI | 1255609442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118163) |
| 1041C0700X Social Worker, Clinical (Licence: RI Isw03039) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2022-03-02 |