| NPI | 1033672928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 6164) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: TN 6164) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-04-24 |