| NPI | 1871762948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC1029) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-03-06 |