| NPI | 1619677440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS 2184) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 3608) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2024-01-25 |