| NPI | 1255459913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00103) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 07177000830) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-09-06 |