| NPI | 1285029165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 15266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 13249) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-07-26 |