| NPI | 1669612636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw00945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107781) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2024-05-06 |