| NPI | 1376630244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI PC206) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-02-16 |