| NPI | 1649243981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI 15W01525) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1021862) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-10-07 |