| NPI | 1528280591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12431) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-09-26 |