| NPI | 1205963576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 8631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7816) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-01-02 |