| NPI | 1508203431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14131) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH14131) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2018-04-24 |