| NPI | 1649417486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149015626) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN LSW0000008568) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2023-04-21 |