| NPI | 1285001495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh13574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006829) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |