| NPI | 1679939367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0102416) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 1097) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-10-27 |