| NPI | 1902814700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 089-0001016) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 089-0001016) |
| 103T00000X Psychologist (Licence: VT 089-0001016) | |
| 104100000X Social Worker (Licence: VT 089-0001016) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089-0001016) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |