| NPI | 1265835201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16839) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL CBHCMS100825) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2019-11-21 |