| NPI | 1437721883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12355) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |