| NPI | 1265716179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01117) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00737) | |
| 104100000X Social Worker | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-01-15 |