| NPI | 1689921041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8456) |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2018-06-01 |