| NPI | 1194740274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12639) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 1871) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-12-13 |