| NPI | 1720596356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18473) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-08-12 |