| NPI | 1922191444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC10618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH3909) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-10-28 |