| NPI | 1821724022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12769) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-01-30 |