| NPI | 1457363749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC4248) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-01-05 |