| NPI | 1457003469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 5171) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 5171) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-07-16 |