| NPI | 1871814434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15766) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA43800) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-03-22 |