| NPI | 1285250423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013923) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6027) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-08-26 |