| NPI | 1841845708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LPC0000005239) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701008541) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-09-18 |