| NPI | 1962805960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143055) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2026-05-01 |