| NPI | 1386805208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01609) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2025-09-04 |