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 |