| NPI | 1831165885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 1498) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 1498) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-05-28 |