| NPI | 1992745665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW01212) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: RI 4730) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-07-03 |