| NPI | 1497976757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI LMHC) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI LCDP00070) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-07-01 |