| NPI | 1073949871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00852) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2024-07-26 |