| NPI | 1659814846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01034) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-08-23 |