| NPI | 1275927444 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11363030-6004) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014544) | 
| Enumeration Date | 2015-03-25 | 
| Last Update Date | 2025-07-22 |