| NPI | 1083159735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924525) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 281439) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2025-01-21 |