| NPI | 1104015916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC00749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 008861) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2025-06-26 |