| NPI | 1679212450 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL Mh23416) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0018327) | 
| Enumeration Date | 2022-06-01 | 
| Last Update Date | 2025-05-22 |