| NPI | 1598911620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 2796) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC002065) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-09-28 |