| NPI | 1083328686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN 2534) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 2534) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-08-27 |