| NPI | 1134872286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680134445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.013.4445) |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |