NPI | 1427194737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00626) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107775) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |