| NPI | 1396966545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01939)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: RI CSW01035)  | 
| 104100000X Social Worker (Licence: MA 214086)  | |
| Enumeration Date | 2007-05-02 | 
| Last Update Date | 2008-10-10 |