| NPI | 1578969002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8885) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6591) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0135701) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-02-15 |