| NPI | 1407057698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI LMHC00260) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC020488) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39005974A) | |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005886) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2026-06-26 |