| NPI | 1386940641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 4578) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: TN 4578) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2024-04-24 |