| NPI | 1205248168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9877) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-04-28 |