| NPI | 1629214929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI CSW01072) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW01998) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2021-07-06 |