| NPI | 1457760696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL MH13472) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-11-06 |