| NPI | 1194281485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC5490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC010101) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-03-01 |