| NPI | 1770847386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01158) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2015-09-17 |