| NPI | 1679791149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7196) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-09-18 |