| NPI | 1609271329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122302) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2025-04-07 |