| NPI | 1710235965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 5900) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 8641) |
| 101YM0800X Counselor Mental Health (Licence: FL MH9447) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2018-11-20 |