| NPI | 1629568761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 220217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01773) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |