| NPI | 1982803185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 13212-0000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00829) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2025-09-26 |