| NPI | 1447433248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2285) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2025-08-14 |