| NPI | 1134184492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9228) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 2463) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-04-17 |