| NPI | 1649535261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 12785) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10564) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-08-19 |