| NPI | 1306607080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: GA csw006555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA csw006555) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-05-22 |