| NPI | 1629487509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3972) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH12670) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-08-11 |