NPI | 1134457989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MHC00452) |
Additional Taxonomies | 101Y00000X Counselor (Licence: RI MHC00452) |
101YM0800X Counselor, Mental Health (Licence: RI MHC00452) | |
Enumeration Date | 2009-12-04 |
Last Update Date | 2009-12-04 |