| NPI | 1538438106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119601) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01271) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2018-03-29 |