| NPI | 1851830780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC01062) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 12638) |
| 101YM0800X Counselor, Mental Health (Licence: MA 12638) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-12-08 |