| NPI | 1669611018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0000765) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 0680000765) |
| 1041C0700X Social Worker Clinical (Licence: VT 0680000765) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2022-03-16 |