| NPI | 1770804155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw02493) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI csw01479) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2015-01-09 |