| NPI | 1528115599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5401) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 299) |
| 101Y00000X Counselor (Licence: FL MH5401) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-05-22 |