| NPI | 1013011691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC000263) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI LCDP00302) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |