| NPI | 1568976199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02026) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-10-19 |