| NPI | 1245662832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6626) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-06-29 |