| NPI | 1871661173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH4771) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH4771) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-10-12 |