| NPI | 1326244351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 2450) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 2405) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-01-16 |