| NPI | 1518510403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0134918) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 097.0134537) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2022-11-17 |