| NPI | 1104331545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01008) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: RI 71261) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC16439) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-11-20 |