| NPI | 1629422167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 3631) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 3631) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-10-27 |