| NPI | 1740532886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 10749) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00052315) |
| Enumeration Date | 2012-10-13 |
| Last Update Date | 2012-10-13 |