| NPI | 1336105261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 3908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1800) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-09-14 |