| NPI | 1699335372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW02137) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001310) |
| 1041C0700X Social Worker, Clinical (Licence: CT 4141) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: CT 941502) | |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-17 |