| NPI | 1215819602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009631) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW009841) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |