| NPI | 1942523253 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2470)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC0000002470)  | 
| Enumeration Date | 2010-03-02 | 
| Last Update Date | 2022-04-19 |