| NPI | 1508396813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN51488) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-11-04 |