| NPI | 1407191240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117132) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW02259) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2020-11-12 |