| NPI | 1588275945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 4531) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TN 000624735) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-05-14 |