| NPI | 1811280258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 4744) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT 097.0106387) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2024-12-02 |