| NPI | 1649428673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01119) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2697) |
| 103T00000X Psychologist | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-05-06 |