| NPI | 1073356838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC00595) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW03780) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-06-26 |