| NPI | 1528545951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 4314) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2025-06-02 |