| NPI | 1447388467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680000695) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 3633) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-01-17 |