| NPI | 1922269059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1486) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-07-16 |