| NPI | 1275308322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00106-A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHCOO106-A) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |