| NPI | 1235208596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0215331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC1692) |
| 101Y00000X Counselor (Licence: TN LDC928) | |
| 101YP2500X Counselor, Professional (Licence: TN 1692) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-05-06 |