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 |