NPI | 1366533317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7951) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI LMFT00063) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2024-02-07 |