| NPI | 1326327289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: RI MHC00777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8686) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC00777) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2018-08-31 |