| NPI | 1053569426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 068.0055114) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2024-03-14 |