| NPI | 1568965002 |
|---|---|
| Former Name | BETH CANTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0129574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151-0125187) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-01-30 |