| NPI | 1720112964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW01465) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI LCDP00030) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-04-19 |