| NPI | 1356533772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00537) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2020-11-20 |