| NPI | 1659647022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01576) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-06-19 |