| NPI | 1659408201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH13938) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School (Licence: FL MH13938) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-04-11 |