| NPI | 1790817823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 102731) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-12-21 |