| NPI | 1134498462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL 16156) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH-16073) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2020-07-07 |