| NPI | 1437645744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01875) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |