| NPI | 1124351945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0057650) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0057650) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2020-01-28 |