| NPI | 1295165702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03224) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2024-04-02 |