| NPI | 1205973815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1429) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-01-13 |