| NPI | 1447080502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 228944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW04575) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-09-15 |