| NPI | 1336594506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 000009448) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-10-23 |