| NPI | 1588778849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw01662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 112098) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |