| NPI | 1467516484 |
|---|---|
| Former Name | RITA L CONVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-09 |