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 |