| NPI | 1548587850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01261) |
| 1041C0700X Social Worker, Clinical (Licence: MA 215973) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-06-16 |