| NPI | 1235525353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1710361) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-02-11 |