| NPI | 1477802882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA SW1158621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02099) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-07-22 |