| NPI | 1245696905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11785) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 104100000X Social Worker | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-14 |