| NPI | 1255368783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00099) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHC0099) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-11-05 |