| NPI | 1053907428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI ISW03644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02250) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-11-30 |