| NPI | 1689199432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01194) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2024-04-26 |