| NPI | 1780902064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01169) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-04-30 |