| NPI | 1174585756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0108494) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC1908) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2016-07-19 |