| NPI | 1578650255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0055033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 622) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-05-11 |