| NPI | 1538298450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1223G0001X Dentist General Practice (Licence: TN DS0000007274) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-08-22 |