NPI | 1033397922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI APRN00361) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI PPNS00086) |
Enumeration Date | 2008-02-04 |
Last Update Date | 2023-04-26 |