| NPI | 1124149729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680000379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000379) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-01-05 |