| NPI | 1306498019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 295819) |
| 101YP2500X Counselor, Professional (Licence: TN 4450) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-03-13 |