| 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 |