| NPI | 1821144999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC 00470) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-09-10 |