| NPI | 1568134187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP01034) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI MHC00153-A) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-09-26 |