| NPI | 1568897544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: RI ISW03863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118895) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2025-10-21 |