| NPI | 1487547121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 1014M0800X) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 1041C0700X) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |