| NPI | 1780895508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00085) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 3072) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-12-17 |