| NPI | 1821236233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10968) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2014-02-13 |