| NPI | 1437334737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH1345) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6775) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2016-02-01 |