| NPI | 1740485747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068-0075400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072-0000275) |
| 225XM0800X Occupational Therapist Mental Health (Licence: VT 072-0000275) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VT 000518) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-08-06 |