| NPI | 1639371768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01982) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: RI 058564) |
| 101YM0800X Counselor, Mental Health (Licence: RI CSW01156) | |
| 101YM0800X Counselor, Mental Health (Licence: RI 436) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-02-08 |