| NPI | 1962015651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW02450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015008) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-04-10 |