| NPI | 1457766768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VT 048.0134613) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-12-08 |