| NPI | 1851472443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02586) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW00815) |
| 1041C0700X Social Worker Clinical (Licence: MA 119120) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-02-26 |