| NPI | 1972618841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0480000873) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 0480000873) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |