| NPI | 1720596356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18473) |
| 101YM0800X Counselor, Mental Health (Licence: NC 21504) | |
| 101YM0800X Counselor, Mental Health (Licence: TN 6801) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-07-08 |