| NPI | 1376280677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC01362) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC013858) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |