| NPI | 1861959785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC01238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 9336) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2026-05-31 |