| NPI | 1437473808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VT 0680057648) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 0680057648) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2016-07-26 |