| NPI | 1285956342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 10145) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E8029) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |