| NPI | 1972832293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MT00202) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2811) | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2020-07-13 |