| NPI | 1003400102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW03938) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03938) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2026-03-03 |