| NPI | 1295751881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115688) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-03-20 |