| NPI | 1225319106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9353) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2018-12-16 |