| NPI | 1629392048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12067) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1260) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2014-02-11 |