| NPI | 1447842646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2011167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23534) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01767) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-10-25 |