| NPI | 1477782613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0092284) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-12-10 |