| NPI | 1164670097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY E.1100007) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-03-15 |