| NPI | 1700266715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217221) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-03-27 |