| NPI | 1215218581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 9971) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH9971) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2012-05-16 |