| NPI | 1598977845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 11747) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001389) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-02-23 |