| NPI | 1043037633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-6461172) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LMSW-6461172) |
| 101YM0800X Counselor, Mental Health (Licence: ID LMSW-6461172) | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-07-21 |