| NPI | 1588039077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA CSW007406) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006732) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-04-05 |