| NPI | 1912017773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1031129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISWO1372) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-25 |