| NPI | 1487085940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 68 0081632) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2019-04-08 |