| NPI | 1649799461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01173) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00689) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2023-01-03 |