| NPI | 1568495034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW00464) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-02-23 |