| NPI | 1467838367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 7981) |
| 101YP2500X Counselor, Professional (Licence: MS 1583) | |
| 174400000X Specialist (Licence: MS 1583) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-08-20 |