| NPI | 1619903515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01875) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-10-27 |