| NPI | 1780929026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI CSW01436) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2014-07-15 |