| NPI | 1356738082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02708) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-11-06 |