| NPI | 1487839262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC01577) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0127349) | |
| Enumeration Date | 2007-12-30 |
| Last Update Date | 2025-03-05 |