| NPI | 1417341066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC13095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00865) |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2023-10-05 |