| NPI | 1568947349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1028359-SW-LICSW) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2022-12-08 |