| 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 |