NPI | 1528250891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC #0003468) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPC #48342) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2014-08-13 |