| NPI | 1750546677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0009831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9831) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2018-10-22 |