| NPI | 1649300773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9917) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003762) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-06-20 |