| NPI | 1871639427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: RI APRN00572) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI RN26851) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-01-20 |