| NPI | 1093184699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: VT 097.0134206) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-11-08 |