| NPI | 1457456857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110402) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA LADC1) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-08-29 |