| NPI | 1871863886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01340) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2014-11-26 |