| NPI | 1730372897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078791-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01166) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2009-04-30 |