| NPI | 1487800835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH9186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9186) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2013-07-26 |