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 | 2025-08-08 |