| NPI | 1194077974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01780) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2021-10-21 |