| NPI | 1891055711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 106687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01444) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2020-07-06 |