| NPI | 1144244518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0109835) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA LMHC5591) |
| 106H00000X Marriage & Family Therapist (Licence: MA LMFT 1287) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-02-27 |