| NPI | 1528428455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0096448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2844) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2024-12-12 |