| NPI | 1932303666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0119314) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1177) |
| 101YM0800X Counselor, Mental Health (Licence: MA 3435) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-01-03 |