| NPI | 1326115346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MCH00513) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-10-15 |