| NPI | 1508132630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135631) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2024-01-10 |