| NPI | 1932735776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0134206) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT 097.0132708) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |