| NPI | 1902773922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04691) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 10470) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2026-01-12 |