| NPI | 1437291440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 16748) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180004398) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-06-26 |