| NPI | 1053847251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 390041014A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180014935) |
| 101YM0800X Counselor, Mental Health (Licence: TX 93611) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2026-08-11 |