| NPI | 1346498649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068-0046679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7400) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2023-06-02 |