| NPI | 1558168021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW04406) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 5911C) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-04-09 |