| NPI | 1427100809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 44541) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4833) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-09-07 |