| NPI | 1578109500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000004534) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-08-14 |