| NPI | 1578564845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI PPNS00006) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-07-24 |