| NPI | 1093187296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39004424A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 2313240) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2025-07-18 |