| NPI | 1245324854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH8613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8613) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-02-14 |