| NPI | 1972932242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 2436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134246) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2025-01-14 |