| 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 |