| NPI | 1356424956 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002651) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH0002651) | 
| 101YP1600X Counselor, Pastoral (Licence: FL MH2651) | |
| Enumeration Date | 2006-10-24 | 
| Last Update Date | 2012-03-09 |