| NPI | 1548335334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: RI ISW01709) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004832) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-04-15 |