| NPI | 1467574129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI LSW01585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1020967) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-09-17 |