| NPI | 1396100475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8969) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC730) | |
| 101YP2500X Counselor, Professional (Licence: KY 270647) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2025-08-21 |