| NPI | 1720353071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC0067-A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP00569) | |
| 101YM0800X Counselor Mental Health (Licence: RI CDP00569) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-01-29 |