| NPI | 1053566679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC #MH8300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL NCC #263011) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-10-23 |