NPI | 1053320846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI ISW01098) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2024-11-07 |