| NPI | 1144454554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 62313) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2015-01-26 |