| NPI | 1073924700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH13594) |
| 101YS0200X Counselor, School (Licence: FL 1080175) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-03-18 |