| NPI | 1801081682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15173) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2020-10-08 |