| NPI | 1134252539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0006105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6105) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-04-05 |