| NPI | 1679636096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2674) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC 0000002674) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-04-24 |