| NPI | 1518455773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1028121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01139) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |