| NPI | 1063564193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VT 0680000291) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VT 0470000655) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |