| NPI | 1194057968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MGC0041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI MHC00412) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2021-01-13 |