| NPI | 1518349406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0129083) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-10-18 |