| NPI | 1033653472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW02547) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1659AD) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00552) | |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2022-03-07 |