| NPI | 1285650291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW00676) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 106583) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-05-06 |