| NPI | 1023693744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134304) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 068.0134304) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-11-13 |