| NPI | 1548304090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 9679) |
| 1041C0700X Social Worker, Clinical (Licence: MA 107637) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-11-23 |