| NPI | 1285938894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02433) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI csw01362) |
| 1041C0700X Social Worker, Clinical (Licence: MA 122717) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2024-01-26 |