| NPI | 1306012299 |
|---|---|
| Former Name | CHARITY STAPLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 8755) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2184) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |