| NPI | 1093471054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI CSW02799) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041S0200X Social Worker School (Licence: RI CSW02799) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-03-06 |