| NPI | 1982035788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0001419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 100.0093081) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2018-05-15 |