| 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 |