| NPI | 1316787484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW011545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW011545) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-07-29 |