| NPI | 1679191498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141033) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-11-13 |