| NPI | 1750446316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02014) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213549) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-10-14 |