| NPI | 1689706673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105041) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-04-01 |