| NPI | 1508339714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134405) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 3483) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-09-12 |