| NPI | 1841584257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MCH00588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI C511) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2014-05-30 |