| NPI | 1194974154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7159) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH15969) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2018-06-19 |