| NPI | 1972142867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04155) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI ISW04155) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-08-29 |