| NPI | 1528125150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC0000177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE 53898) |
| 101YM0800X Counselor, Mental Health (Licence: FL PMH 1438) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-09-09 |