NPI | 1407077977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01866) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114078) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-10-01 |