| NPI | 1992784201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC 3881) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2019-11-20 |