| NPI | 1336382191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00471) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI C463) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2010-06-02 |