| NPI | 1417329996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11436) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2016-04-07 |