| NPI | 1376825018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0120384) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: NH 1143) | |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2019-09-11 |