| NPI | 1730895699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01475) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 19801) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00791) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-04-03 |