| NPI | 1558612853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VT 089.0128888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 089.0128888) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2018-03-17 |