| NPI | 1881061547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC LPC 6236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7830) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2016-08-01 |