| NPI | 1598143000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118218) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2016-06-29 |