| NPI | 1770899742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009655) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00473) |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW01506) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2016-11-15 |