| NPI | 1083486286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6706) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-09-09 |