| NPI | 1205283066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 7497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 281) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |