NPI | 1881226082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0128501) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0120266) |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |