| NPI | 1215024120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00437) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI C125) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-10-22 |