| NPI | 1154849826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01525) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12852) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2025-04-23 |