| NPI | 1861034829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072907) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |