| NPI | 1558920108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 3280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 5462) |
| 101Y00000X Counselor (Licence: TN 5462) | |
| 101Y00000X Counselor (Licence: MS 3280) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-07-24 |