| NPI | 1265423396 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068000272) | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 0680000272) | 
| Enumeration Date | 2005-10-28 | 
| Last Update Date | 2025-09-11 |