| NPI | 1326235557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: RI ISW02868) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 1041C0700X Social Worker Clinical (Licence: RI ISW02868) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-10-29 |