| NPI | 1639703747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 20346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 4919) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2026-07-12 |