| NPI | 1235806050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 282471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6733) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2024-03-13 |