| NPI | 1851784078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC01604) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2024-05-17 |