| NPI | 1194081919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0680071237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0071237) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-12-18 |