| NPI | 1144677626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: RI MHC00826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 8022) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-02-22 |