| NPI | 1962550483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R049576-01) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-10-22 |