NPI | 1902185762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011222) |
Additional Taxonomies | 101Y00000X Counselor (Licence: RI C512) |
104100000X Social Worker (Licence: RI CSW01442) | |
1041C0700X Social Worker, Clinical (Licence: RI ISW02454) | |
Enumeration Date | 2011-08-11 |
Last Update Date | 2018-03-17 |