| NPI | 1174181440 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003539A)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39003539A)  | 
| Enumeration Date | 2019-06-03 | 
| Last Update Date | 2024-08-30 |