| NPI | 1811411481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 4013) |
| 101YM0800X Counselor Mental Health (Licence: TN 4013) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |