| NPI | 1689974479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW01693) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 111747) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |