| NPI | 1295009124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 228472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01459) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2023-02-16 |