| NPI | 1336381250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8863) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2010-12-16 |