| NPI | 1306204961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047.0000701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.000433) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |