| NPI | 1114180551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2721) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2026-08-25 |