| NPI | 1457447963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI CSW01669) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 3030637) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-07 |