| NPI | 1275196479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224627) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-11-28 |