| NPI | 1285872101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00408) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5826) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2013-01-18 |