| NPI | 1952601734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7897) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2012-02-09 |