| NPI | 1164903100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03502) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 1025117) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-06-14 |