| NPI | 1891944641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 5097) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: TN 5097) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-04-24 |