| NPI | 1578567293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4043) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN1673612) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2009-06-25 |