| NPI | 1780913350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114634) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2020-03-03 |