| NPI | 1265500482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000006) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 0680000006) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-08 |