| NPI | 1457387557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 004957) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW01165) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-06-19 |