| NPI | 1669024436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03408) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-10-26 |