| NPI | 1447485040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT ROSTER 097-0000097) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT ROSTER 097-0000097) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |