| NPI | 1326491622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW009171) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2025-09-24 |