| NPI | 1649616475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3075) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |