| NPI | 1578069043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0134738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0122646) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-07-18 |