| NPI | 1720795446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01450) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-01-28 |