| NPI | 1033280177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0000365) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 9491) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2023-04-26 |