| NPI | 1619214103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW01580) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 218430) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-12-17 |