| NPI | 1902287758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI PS01775) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-10-09 |