| NPI | 1144723818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-9776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH26476) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2025-10-14 |