| NPI | 1386894665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680000740) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH9216) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 6981) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2010-03-31 |