| NPI | 1831958750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2776) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |