| NPI | 1003042896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4450) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH4450) |
| 101Y00000X Counselor (Licence: FL MH4450) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH4450) | |
| 222Q00000X Developmental Therapist (Licence: FL MH4450) | |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2009-06-08 |