| NPI | 1659890168 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004439A)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 46.003408)  | 
| 101YM0800X Counselor, Mental Health (Licence: OH E.1901083)  | |
| 101YM0800X Counselor, Mental Health (Licence: NY 007973)  | |
| Enumeration Date | 2017-09-15 | 
| Last Update Date | 2025-06-02 |