| NPI | 1952481558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680000578) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-09-12 |