| NPI | 1689271744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 4321) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-12-01 |