| NPI | 1518635515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MSW011002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X (Licence: GA MSW011002) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-09-24 |