| NPI | 1629627252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002539) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00863) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01696) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-05-08 |