| NPI | 1316250400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02330) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2023-10-11 |