| NPI | 1932578861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01650) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-12-08 |