| NPI | 1457437600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107188) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |