| NPI | 1912425703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3919) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 3919) |
| 101YM0800X Counselor, Mental Health (Licence: TN 3919) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |