| NPI | 1548498900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9833) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-11-19 |