| NPI | 1538345517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: RI MHC00645) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 000006448) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2022-11-01 |