| NPI | 1053598011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: RI-S0608221232) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA RI-S0608221232) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-S0608221232) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |