| NPI | 1689029282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI PS00510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7510) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |