| NPI | 1740512169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0092957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 60549) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2014-03-24 |