| NPI | 1649678178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MFT00179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: RI MHC00885) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4649) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2018-03-17 |