| NPI | 1043591282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH 1010) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2014-05-15 |