| NPI | 1205249125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11716) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-09-20 |