| NPI | 1801959440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 2716) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001451) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-12-09 |