| NPI | 1336324235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9393) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH5549) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH5549) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2009-09-23 |