| NPI | 1598162638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 10479) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional (Licence: RI MHC01388) | |
| 101YP2500X Counselor, Professional (Licence: FL MH20820) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2024-12-11 |