| NPI | 1407249956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14727) |
| Additional Taxonomies | 251S00000X (Licence: FL MH14727) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2019-04-08 |