| NPI | 1184243446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01496) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PA016359) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-09-25 |