| NPI | 1154561280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 6152) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-10-02 |