| NPI | 1699307322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 224983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02333) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |