| NPI | 1023178829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00137) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW00751) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-09-11 |