| NPI | 1558553909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114919) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01950) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2009-05-15 |