| NPI | 1720260755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6098) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 6098) |
| 101YP2500X Counselor, Professional (Licence: FL MH 6098) | |
| 101YS0200X Counselor, School (Licence: FL MH 6098) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-05-16 |