NPI | 1568490563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MFT00088) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT102944) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2022-07-15 |