| NPI | 1811510159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017608) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 4264) |
| 101YM0800X Counselor, Mental Health (Licence: GA 005473) | |
| 101YP2500X Counselor, Professional (Licence: GA 005473) | |
| 101YP2500X Counselor, Professional (Licence: TN 4264) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-08-22 |