| NPI | 1043489628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00619) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42182) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2019-09-25 |