| NPI | 1952734089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00687) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI MHC00687) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI MHC00687) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-03-31 |