| NPI | 1740423821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 104675) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |