| NPI | 1508345778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114802) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-05-04 |