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 |