| NPI | 1770619561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 2841) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-10-05 |