| NPI | 1285908053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01257) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2021-08-27 |