| NPI | 1508097866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHC00576) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2013-06-20 |