| NPI | 1194814988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047-0000661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680000316) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-01-25 |