| NPI | 1386048304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 169197) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH14236) |
| 101YM0800X Counselor Mental Health (Licence: FL MH14236) | |
| 101Y00000X Counselor (Licence: FL MH14236) | |
| 101Y00000X Counselor (Licence: KY 169197) | |
| 101YP2500X Counselor Professional (Licence: KY 169197) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2017-01-06 |