| NPI | 1679651541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 214093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI csw01006) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-02-26 |