| NPI | 1417270133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01092) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1611) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00800) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDS00096) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2020-11-23 |