| NPI | 1548894116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC01376) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 0) |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2023-09-26 |