| NPI | 1225233471 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 1225233471) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1225233471) | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-06-18 | 
| Last Update Date | 2015-08-10 |