| NPI | 1861597445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0795) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |