| NPI | 1760585780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 068-0000395) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-03-17 |