| NPI | 1053870246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW009648) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC SW.18011CP) |
| 1041C0700X Social Worker, Clinical (Licence: SC SW.18011CP) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009648) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-11-13 |