| NPI | 1699907378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7568) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 097-0001311) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2014-08-26 |