| NPI | 1083908404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MFT00181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1397) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2017-02-24 |