| NPI | 1356975197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 097.0134690) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2023-07-06 |