| NPI | 1124328158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00570) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 419331101) |
| 101YS0200X Counselor, School (Licence: RI 64997) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2013-11-06 |