| NPI | 1699648204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 7401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701016593) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-08-28 |