| NPI | 1326573312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03641) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-09-04 |