| NPI | 1104919117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04259) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI L.C.D.P. # not rcvd) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-11-05 |