| NPI | 1477688968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000380) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 047-0000697) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |