| NPI | 1922160555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 6157) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI MCH00986) |
| 101Y00000X Counselor (Licence: MA 6157) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-03-08 |