NPI | 1144326182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VT 1010017594) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 1010017594) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2016-04-21 |