| NPI | 1871150797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925825) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22382) | |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2025-12-02 |