| NPI | 1366817231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW006497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006599) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2022-05-04 |