| NPI | 1932310950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH8821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8821) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-11-09 |