| NPI | 1063584431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0066611) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 5183) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-12-23 |