| NPI | 1437454980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH8229) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 00080429) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |