| NPI | 1316373285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI ACDP) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |