| NPI | 1558404178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 1827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9523) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-01-06 |