| NPI | 1720112287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW01127) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI ISW01127) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-10-25 |