| NPI | 1124454855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH11740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11740) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2017-01-04 |