| NPI | 1891855409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680000236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4801-125) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-12-03 |