| NPI | 1629207626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00421) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: RI 0005601) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2009-07-11 |