| NPI | 1942231212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116020) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-09-05 |