| NPI | 1487814976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01898) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0739071) |
| 1041C0700X Social Worker, Clinical (Licence: MA 114353) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05306600) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 58.007407) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC11781) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-03-20 |