| NPI | 1659590891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0000769) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VT 048-0000769) |
| 103TF0000X Psychologist, Family (Licence: VT 048-0000769) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-09 |