| NPI | 1073655932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH1007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2118) |
| 101Y00000X Counselor (Licence: CT 001822) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-08-21 |