| NPI | 1013928696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01479) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00050) |
| 104100000X Social Worker (Licence: RI 1SW01479) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-04-28 |