| NPI | 1730886607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122260) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |