| NPI | 1669654455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004281) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2016-08-02 |