| NPI | 1104234384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 3842) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-11-28 |