| NPI | 1689209744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00357) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118691) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-12-14 |