| NPI | 1396752994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068-0000665) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 068.0000665) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-04-18 |