| NPI | 1912100710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01464) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI isw01404) |
| 101YM0800X Counselor, Mental Health (Licence: RI ISW01464) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI ISW01464) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-11-26 |