| NPI | 1407926751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8730) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-04-13 |