| NPI | 1285145417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI ISW02803) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2021-07-13 |