| NPI | 1629171426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 121003) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW00918) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-10-06 |