| NPI | 1275713679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01117) |
| 1041C0700X Social Worker, Clinical (Licence: MA 214820) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2018-10-04 |