| NPI | 1801935648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW00733) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: MA 107090) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-07-21 |