| NPI | 1679860399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1031640) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |