| NPI | 1669045738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ISW04106) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW02614) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-05-03 |