| NPI | 1265707137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134165) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5722) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2020-04-19 |