| NPI | 1407368699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA 012250) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 3085) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2024-09-21 |