| NPI | 1467744193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 240) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 068.0076031) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2012-10-09 |