| NPI | 1912215161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12117) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2013-06-06 |