| NPI | 1518283266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P87456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH 884) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2014-09-02 |