| NPI | 1972699890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107963) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS15795) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-07-31 |