| NPI | 1912092040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01266) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |