| NPI | 1699893198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 1024420) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW01096) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-02-05 |