| NPI | 1578895058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3789) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 3441) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2025-12-01 |