| NPI | 1316317357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004676) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |