| NPI | 1902954241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114155) |
| 1041C0700X Social Worker, Clinical (Licence: MA 213373) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-10-05 |