| NPI | 1659517787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00392) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP.00585) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC.0014867) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001244) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2023-10-30 |