| NPI | 1831408558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15954) |
| 1041C0700X Social Worker, Clinical (Licence: MA 116924) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-10-19 |