| NPI | 1619026820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW00318) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 1015735) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-01-13 |