| NPI | 1245874650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: RI ISW03368) | |
| 1041C0700X Social Worker, Clinical (Licence: ISW03368) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-11-15 |