| NPI | 1598197170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0016477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134424) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-11-11 |