| NPI | 1508176835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14268) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2019-11-15 |