| NPI | 1831149871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW01725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 113446) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |