| NPI | 1891748976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7892) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI MHC00179) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-07-21 |