| NPI | 1265864938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 1957) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-11-30 |