| NPI | 1972998433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0134103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005979-1) |
| 101YM0800X Counselor, Mental Health (Licence: OR C4086) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2018-05-01 |