| NPI | 1952542599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118352) |
| 1041C0700X Social Worker, Clinical (Licence: MA 212530) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-02-23 |