| NPI | 1013050293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068-0115765) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-07-20 |