| NPI | 1891742680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN PE11728) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 11728) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-03-17 |