| NPI | 1245640473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10313) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL MH10313) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-12-12 |