| NPI | 1598974644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5742) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-11-02 |