| NPI | 1902846322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN31644) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00658) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-05-04 |