| NPI | 1558051862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01510) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI MHC01510) |
| 103T00000X Psychologist (Licence: RI MHC01510) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-28 |