| NPI | 1407097157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215364) |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW01222) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2019-01-18 |