| NPI | 1518006089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 4726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL Mh9095) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-08-08 |