| NPI | 1770728198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8066) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2017-09-29 |