| NPI | 1578103487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW4054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16983) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-04-24 |