| NPI | 1952638561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 10175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 6253) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2010-01-25 |