| NPI | 1962882951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 211709) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |