| NPI | 1790194298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077989) |
| 1041C0700X Social Worker, Clinical (Licence: MA 000124652) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-02-20 |