| NPI | 1619414059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00835) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10003976) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2026-03-05 |