| NPI | 1982185849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02312) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |