| NPI | 1114347259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00762) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI 587) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2016-02-11 |