| NPI | 1033237581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068-0000747) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: 01038597) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-07-23 |