| NPI | 1700989019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7970) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-04-27 |