| NPI | 1669675369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL PMH 729) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC1622) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-08-31 |