| NPI | 1275801748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03522) |
| 1041C0700X Social Worker, Clinical (Licence: MA 217477) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2022-03-29 |