| NPI | 1740222421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080705) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-11-19 |