| NPI | 1275685893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113739) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-06-20 |