| NPI | 1770074205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02866) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-09-09 |