| NPI | 1013557404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01554) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-08-29 |