NPI | 1316425929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01224) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: RI MHC01224) | |
Enumeration Date | 2018-08-06 |
Last Update Date | 2022-08-16 |