| NPI | 1417207846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14571) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8639) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2016-12-30 |