| NPI | 1336793132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134453) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0134540) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-04-26 |