| NPI | 1194959106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH10084) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2014-10-13 |