| NPI | 1255635918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000350) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 1255635918) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2025-04-11 |