| NPI | 1932759677 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7305)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011050)  | 
| 101YP2500X Counselor, Professional (Licence: LA 9542)  | |
| Enumeration Date | 2019-09-15 | 
| Last Update Date | 2025-07-18 |