| NPI | 1164242566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011730) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |