| NPI | 1679556682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 101873-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI 1SW00067) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-09 |