| NPI | 1770760159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01353) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2025-04-01 |